NPI | 1033513635 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 731110) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 731110) |
163W00000X Registered Nurse (Licence: CA 731110) | |
363LP2300X Nurse Practitioner, Primary Care (Licence: CA 731110) | |
Enumeration Date | 2014-10-10 |
Last Update Date | 2023-10-30 |